Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage in Memorial Bahcelievler Hospital Istanbul
Memorial Bahcelievler Hospital Istanbul
Istanbul, Turkey
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Program id #
622169
Prof. Dr. med. Erdem Akbal
Department of Adult and Pediatric Gastroenterology, Hepatology
Specialized in: adult and pediatric gastroenterology, hepatology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- tumor markers (AFP, CEA, СА-19-9, CA 72-4)
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- abdominal ultrasound
- gastroscopy with biopsy
- CT/MRI abdomen
- ERCP, stenting and bougienage
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- nutrition recommendations
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Adult and Pediatric Gastroenterology, Hepatology at the Memorial Bahсelievler Hospital Istanbul offers the full range of high-precision diagnostics and effective treatment of gastrointestinal diseases. The department's specialists admit patients of all age groups, including children. Endoscopic procedures are widely used in clinical practice for detection of the slightest pathological changes in the gastrointestinal tract, as well as for their treatment. An individual therapy regimen is developed for each patient, taking into account all specificities of the disease and state of health, as well as age. The tremendous experience of the department's doctors allows them to successfully cure even the most complex and rare gastroenterological pathologies. The department's medical services meet the highest standards of modern medicine. The department is headed by Prof. Dr. med. Erdem Akbal.
The doctors of the medical facility are convinced that the accurate diagnostics is the key to successful treatment. After the clinical examination and study of the medical history, the patient undergoes the necessary instrumental and laboratory tests. The department's diagnostic options include gastroscopy to assess the condition of the mucous membrane of the esophagus, stomach and duodenum, colonoscopy and rectosigmoidoscopy to assess the condition of the colon, esophagogastroduodenoscopy, endoscopic retrograde cholangiopancreatography to examine the biliary tract and pancreas. In addition, the department performs percutaneous liver biopsy.
One of the key activities of the department is the diagnostics and treatment of gastroesophageal reflux disease – chronic recurrent disease characterized by regular reflux of stomach and duodenal contents into the esophagus. In the absence of timely treatment, the pathology can cause serious complications, such as esophageal stricture, haemorrhage and precancerous conditions (Barrett's esophagus). Thus, the aim of treatment is not only to relieve symptoms and eliminate inflammatory processes in the esophagus, but also to prevent life-threatening complications. To confirm the diagnosis of gastroesophageal reflux disease, the department's specialists carry out radiography of the esophagus and duodenum with barium sulfate solution, esophagogastroduodenoscopy, esophageal manometry and daily esophageal pH-metry. For patients with mild pathology, it is enough to modify their lifestyle (cessation of smoking, carbonated and acidic beverages, as well as exclusion from the diet of foods that increase acidity – alcohol, chocolate, caffeine, coffee, tea, fatty and spicy products, etc.), as well as drug therapy, the scheme of which is adapted to the clinical case of each patient.
In addition, the department's gastroenterologists are especially focused on the treatment of benign and malignant gastrointestinal neoplasms (in cooperation with general surgeons and other specialized doctors), gastritis, gastric ulcers, stomach and bowel polyps, esophageal strictures, gastrointestinal bleeding, removal of foreign bodies from the esophagus, stomach and rectum, treatment of inflammatory bowel diseases, etc.
Digestive diseases in children are diagnosed and treated by specially trained doctors. When developing a treatment plan, the age of the child and the features of the growing organism are necessarily taken into account. The focus is on conservative therapy and lifestyle modification. A competent combination of innovative medicines allows the department's doctors to achieve excellent therapeutic results.
The focus of hepatology specialists is on the treatment of hepatitis, including viral hepatitis A, B, D, E, cirrhosis, alcoholic liver disease, liver cancer, etc. The doctors use effective state-of-the-art drugs to treat hepatological diseases. If surgical intervention is necessary, the doctors from the Department of General Surgery are involved in the therapeutic process.
The department's range of medical services includes:
- Diagnostic procedures
- Gastroscopy
- Colonoscopy
- Rectosigmoidoscopy
- Esophagogastroduodenoscopy
- Endoscopic retrograde cholangiopancreatography
- Percutaneous liver biopsy
- Ultrasound examinations
- Laboratory tests
- Therapeutic procedures
- Esophageal variceal ligation
- Endoscopic foreign body removal
- Arrest of gastrointestinal haemorrhages using special clips, drug injections, thermal and laser coagulation
- Endoscopic removal of gastrointestinal neoplasms
- Endoscopic dilatation of atresias and stenoses
- Endoscopic polypectomy
- Feeding tube placement
- Other diagnostic and therapeutic options
Curriculum vitae
Professional Career
- Since 2019 Head of the Department of Adult and Pediatric Gastroenterology, Hepatology at the Memorial Bahсelievler Hospital Istanbul.
- 2016 - 2019 Gastroenterologist, Department of Gastroenterology, Florence Nightingale Hospital.
- 2012 - 2015 Gastroenterologist, Department of Gastroenterology, Hospital at the Çanakkale Onsekiz Mart University.
- 2008 - 2009 General Practitioner, Department of Gastroenterology at the Amasya Suluova Devlet Hastanesi.
Higher Education and Postgraduate Training
- 2019 Professorship in Gastroenterology.
- 2014 Assistant Professorship in Gastroenterology.
- 2009 - 2012 Specialized training in Gastroenterology, Ankara Egitim ve Arastirma Hastanesi.
- 2003 - 2008 Residency in Internal Medicine, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi.
- 1996 - 2002 Study of Human Medicine at the Faculty of Medicine of the Ankara University.
Scientific Publications
- More than 100 articles in international journals.
- Numerous posters and oral presentations at the national and international congresses.
Memberships in Professional Societies
- Turkish Society of Gastroenterology.
- Turkish Society of Gastrointestinal Endoscopy.
- Turkish Association for the Study of the Liver.
- Turkish Hepato-Pancreato-Biliary Surgery Association.
- Turkish Medical Association.
Photo of the doctor: (c) Memorial Bahçelievler Hospital
About hospital
The Memorial Bahçelievler Hospital Istanbul is an advanced multidisciplinary medical center that began its clinical practice in 2018. It is part of the world famous Memorial Healthcare Group. The hospital was designed in accordance with the very latest standards of modern architecture with the aim of providing top-class medical services in a pleasant and patient-oriented environment. It is worth noting that the interior of the medical facility is full of live plants, which have a positive impact on people and their mood. The hospital is awarded the prestigious LEED Platinum Certificate, confirming the highest level of environmental friendliness and safety of the buildings of the medical complex.
The hospital has 320 beds for patient hospitalization. The medical and technical base of the hospital is one of the best and most advanced in Turkey – modern diagnostic rooms with MRI, CT, PET-CT scanners, gamma cameras, X-ray equipment, mammography systems and other equipment, 15 operating rooms, including for robot-assisted, endoscopic and hybrid surgical interventions, intensive care units, etc. The hospital also has a high-performance state-of-the-art Elekta Versa HD SIGNATURE system for radiation therapy.
The powerful technical resources of the hospital are complemented by a highly professional medical staff, who have achieved significant success not only at the national level, but also in the international medical arena. The doctors and nursing staff of the hospital are distinguished by excellent medical qualifications, as well as humane and compassionate attitude towards each patient. They strongly support their patients on their way to recovery.
The medical center admits not only Turkish citizens for treatment, but also patients from 92 countries of the world, and therefore it boasts a wealth of experience in serving international patients with clinical cases of varying complexity.
Photo: (c) Memorial Bahçelievler Hospital, (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Memorial Bahçelievler Hospital Istanbul live in cozy rooms with an excellent layout and modern design. The standard patient rooms are equipped with a comfortable automatically adjustable bed, a bedside table, a table and a chair, a wardrobe, a sofa for receiving visitors. The patient room also includes a TV, a telephone and Wi-Fi. Each room has an ensuite bathroom with shower and toilet. The hospital also provides patients with enhanced-comfort rooms corresponding to a five-star hotel.
Meals and Menus
The patient and the accompanying person are offered tasty and balanced three meals a day. If for some reason you do not eat all foods, you will be offered an individual menu. Please inform the medical staff about your food preferences prior to treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Accompanying person
During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During an outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.
